Evidence map›Paper›PMID 40545832›Full record

ArticleThe journal of obstetrics and gynaecology research2025

The effect of dolutegravir on obstetrical outcomes among women living with HIV: A retrospective cohort study.

Ammar Al Naimi, Charlotte Chang, Holly Rawizza, Oluwaseun Olaifa, Olabanjo Ogunsola, Prosper Okonkwo, Phyllis Kanki

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Article in The journal of obstetrics and gynaecology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Ammar Al NaimiDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5345-4688
Charlotte ChangDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Holly RawizzaDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.
Oluwaseun OlaifaAPIN Public Health Initiatives, Abuja, Nigeria.
Olabanjo OgunsolaAPIN Public Health Initiatives, Abuja, Nigeria.
Prosper OkonkwoAPIN Public Health Initiatives, Abuja, Nigeria.
Phyllis KankiDepartment of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-4739-4572

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effect of dolutegravir (DTG) on obstetrical outcomes for women living with HIV (WLWH).

methodsThis retrospective cohort study evaluated adult WLWH in antenatal care between 2016 and 2022 at two Nigerian centers. Patients were stratified into three antiretroviral therapy (ART) exposure groups: non-DTG ART, DTG-switch, and DTG. Multivariate linear and logistic regression models were utilized to assess the association between the type of ART and gestational weight gain (GWG), small for gestational age (SGA), gestational hypertension, and preterm birth.

resultsThe study included 1839 (77.1%) non-DTG users, 359 (15%) DTG users, and 188 (7.9%) DTG switchers. The adjusted association between DTG exposure and GWG was 0.72 (-0.08, 1.53) kg and 0.51 (-0.51, 1.54) kg for the DTG and DTG-switch groups, respectively, compared to other ARTs. The adjusted odds ratios for gestational hypertension were 0.47 (0.09, 2.49) and 1.31 (0.43, 4.02), 0.57 (0.22, 1.52) and 0.73 (0.25, 2.10) for preterm birth, and 0.55 (0.25, 1.20) and 0.26 (0.08, 0.83) for SGA in DTG and DTG-switch, respectively, compared to other ARTs.

conclusionsDTG therapy is not associated with the risk of gestational hypertension nor preterm birth, and antenatal ART switching to DTG decreases the risk of growth restriction.

Indexed as

Gestational Weight GainHeterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsHypertension, Pregnancy-InducedOxazinesPiperazinesPregnancy Complications, InfectiousPremature BirthPyridonesAdultDolutegravirFemaleHumansInfant, NewbornInfant, Small for Gestational AgeDolutegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridonesdolutegravirDTGHIVobstetrical outcomes

Identifiers

PMID40545832
PMCPMC12183490

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.